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NHS Prescription Fees and Pre-payment Certificates (PPC)px

These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge.

  • Prescription fees from 1/4/19 are : £9.00 (per item)

  • Depending on the amount of prescription items you usually get, you may find it more cost effective to get a Prescription Prepayment Certificate (PPC):
    • A 3-month PPC = £29.10; and will save you money if you need more than three prescribed items in three months
    • A 12-month PPC = £104.00; and will save you money if you need more than 12 prescribed items in a year
  • PPCs are available by 10 monthly direct debit installment payments. The certificates allow anyone to obtain all the prescriptions they need for £2 a week.  Find out more about the prescription prepayment certificate.


People with certain medical conditions may be entitled to free NHS prescriptions if:

  • they have one of the conditions listed below, and
  • they hold a valid medical exemption certificate

Medical exemption certificates are issued on application to people who have:

  • a permanent fistula (for example, a caecostomy, colostomy, laryngostomy or ileostomy) requiring continuous surgical dressing or requiring an appliance
  • a form of hypoadrenalism (for example, Addison's disease) for which specific substitution therapy is essential
  • diabetes insipidus or other forms of hypopituitarism
  • diabetes mellitus, except where treatment is by diet alone
  • hypoparathyroidism
  • myasthenia gravis
  • myxoedema (hypothyroidism requiring thyroid hormone replacement)
  • epilepsy requiring continuous anticonvulsive therapy
  • a continuing physical disability that means the person can't go out without the help of another person – temporary disabilities don't count, even if they last for several months

They are also issued for people undergoing treatment for cancer:

  • including the effects of cancer, or
  • the effects of current or previous cancer treatment
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